How do you know if your Major Medical Plan covers Massage Therapy?
The easiest way to find out is for you to call the customer service phone number located on your insurance card and request information about your massage therapy coverage. Because there are several different types of insurance, each insurance company and policy have different rules and conditions for when and how they will pay for massage.
As a rule of thumb, the types of insurances that may pay for massage are: Major Medical PPO (Blue Cross, Aetna, Humana, etc.), HMO’s, Medicare and Medicaid. After you have verified your coverage and obtained a prescription from a physician, you may start to receive medical massage with a Licensed Massage Therapist that is qualified to bill insurance companies. The massage therapist will need to have a National Provider Identification (NPI) number registered with the National Plan and Provider Enumeration System in order to legally bill for medical massage.
– YES Blu Magnolia Wellness has a registered NPI !
What is medical massage you ask?
It is a clinical massage based on a physician’s prescription, sometimes used for pain management but usually performed with a specific goal for functional outcome. It is generally prescribed as a series of visits over a specific period of time, like 2x per week for 6 seeks, or 1x per week for 12 weeks. Typically the LMT may only work on the affected area, where an appropriate diagnosis code has been prescribed. Medical massage is usually paid for by a third party, such as an insurance company.
We are diligently working on our credentials and approvals. However, we are currently NOT directly billing insurance. All clients wishing to file with insurance must contact their insurance provider for eligibility and are fully responsible for payment at time of service. Blu Magnolia will cooperate fully in providing the proper paperwork and documentation required for YOU to submit for reimbursement. We are not responsible for denied claims.